You might have heard a lot about dilation from other girls who had GCS/SRS. Most probably these girls had some form of penile inversion, advanced penile inversion or full-graft vaginoplasty GCS/SRS.

Their dilation regime most often is:

  • very time-consuming – up to 3 hours per day
  • has to be done for the rest of the patient‘s life
  • is oftentimes very painful, sometimes up to the point that dilation can only be done using painkillers, sometimes leading to medication addiction
  • needed to keep/ increase the depth and diameter of the vagina

You had sigmoid colon SRS with its unique features and abilities – so there is just one basic rule to begin with:


First and foremost there is one basic rule for you to understand:

Dilation for your sigmoid colon vagina (SCV) is far from having the task of stopping your vagina to shrink or to increase its functional diameter, or to keep the depth of your vagina like with all non-sigmoid-colon GCS/SRS techniques who have to keep the graft from shrinking and sinking in in itself.

Dilation for the sigmoid colon vagina serves the purpose of:
  • keeping the peritoneum from squeezing your SCV in the area where your SCV reaches through the peritoneum wall within the first days after surgery
  • keeping the suture line between your penile skin and your SCV smooth and flexible and help keep it maturing
  • keeping the vaginal entrance nice and adaptable

For that reason we created 2 kinds of dilators – soft foam dilators in 2 sizes and rigid dilators in 3 sizes – to make dilating an easy. convenient, fast, and even pleasurable experience for you. Actually, your SCV will make dilation a pleasurable and fun experience for you, not the dilators.

Your complimentary dilator set:

one small soft vacuum capable dilator

one large soft vacuum capable dilator

one small rigid dilator

one regular size rigid dilator

one large size rigid dilator

The foam dilator is built, so that you can vacuum it with a syringe – that is you can suck the air out of the foam –
and this way make it shrink in size, to easily fit into your vagina, without damaging any tissue towards the upward curving end of your vagina.

After it is placed inside, the vacuum gets opened up, air flows in – and the force of the air and the foam will be enough to wonderfully expand your SCV and also to expand it in the area, where the peritoneum is trying to squeeze in onto your SCV. It wonderfully aligns with the natural shape of your SCV while providing superior dilation.

 the start of dilation (days 6 or 7 post-op)
Day 1 + 2
 small soft dilator
large soft dilator
 5 minutes
5 minutes
 2 times per day
morning + evening
 Day 3-5
 large soft dilator
small rigid dilator
 5 minutes
5 minutes
 2 times per day
morning + evening
 Day 6 + 7
 large soft dilator
small rigid dilator
regular or large dilator
 5 minutes
5 minutes
 2 times per day
morning + evening
 Day 8 and later
 small rigid dilator
regular or large rigid dilator
 5 minutes
5 minutes
 2 times per day
morning + evening

Further tips

  • If you want to you can keep the soft foam dilators in your vagina overnight, to help in the process, but it‘s in no case mandatory.
  • You can perform Kegel exercises to strengthen the pelvic floor muscles, which support the uterus, bladder, small intestine and rectum. You can do them just about anytime and anywhere.
How to do Kegel exercises

Find the right muscles.
To identify your pelvic floor muscles, stop urination in midstream. If you succeed, you‘ve got the right muscles. Once you‘ve identified your pelvic floor muscles you can do the exercises in any position, although you might find it easiest to do them lying down at first.
Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row.
Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
Repeat three times a day. Aim for at least three sets of 10 repetitions a day.
Stay away from using Kegel exercises to start and stop your urine stream.
Doing Kegel exercises while emptying your bladder can actually lead to incomplete emptying of the bladder — which increases the risk of a urinary tract infection.

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